Infinx Prior Authorization, Insurance Verification & Patient Pay Estimation Solution

Infinx Prior Authorization, Insurance Verification & Patient Pay Estimation Solution

Infinx Healthcare

Infinx Overview

Technology driven Healthcare Revenue Cycle Management Solutions

2000 employees across specialized teams

Healthcare domain expertise across multiple specialties and provider groups

3 delivery centers in India – Mumbai, Navi Mumbai & Hyderabad

100+ software engineers with broad technology, application and project exposure

Our RCM Offerings

Introducing Infinx Pre-Auth & Insurance Verification Solution

Prior-Authorization + Insurance Verification + Patient Pay Estimation Prior-Authorization + Insurance Verification + Patient Pay Estimation

HL7 INTEGRATION FOR iBRIDGE

iBRIDGE

Workflow Platform

KNOWLEDGE BASE - RIGHT SKILLS &

EXPERTISE

Challenges Faced by Doctors managing Pre-Auths

Impact on Radiology Practice

Our Pre-Auth Solution

ride – Pre-Auth Workflow Management

• Knowledgeable and experienced resources

• Well-Trained to handle complex cases/scenarios

• Experience dealing with multiple payors & benefit managers

• Ability to handle payor queries efficiently for faster approvals

• Ability to deal with limited clinical documentation and information

• Single screen secure web-based portal

• Smart queue management

• Intelligent business rules for prioritization & Insurance Verification

• Tracks requests with Status

•Upto 99% approval rates

•TAT of 4hours for STAT requests

•Upto 99% Accuracy rate

iBridge

A 3-IN-ONE Workflow Platform that manages

Prior-AuthorizationPrior-Authorization

Automated Insurance VerificationAutomated Insurance Verification

Automated Patient Pay EstimationAutomated Patient Pay Estimation

Handles end-to-end prior-authorizations and tracks status instantly

Automates the verification process & enables faster approvals in minutes

Estimates patient responsibility at the point of service (calculates co-pays, deductibles & out of pocket)

Our Experience & Success in Pre-Auth

Experience in 15+ specialties with over 20 customers using our prior-authorization service

Knowledge & Experience dealing with 700+ payors/benefit managers

Team of 100+ resources trained & experienced in insurance verification & prior-authorizations

Successfully processing 1500 prior-authorizations everyday

Delivering 99% approval & accuracy rate on prior-auth requests

Meeting average TAT of 24hours with STAT requests processed within 20mins

Success implementing iBridge on client platforms through HL7 Interoperability

Benefit to your Practice using Infinx

Reduce appointment rescheduling/cancellations due to delay in getting pre-auths done on time by doctors which may result in loss of revenue for radiology practice.

Infinx ability to deliver faster pre-auth approvals through iBridge will help your radiology practice schedule more appointments leading to more revenue/cashflow.

Tracking pre-auth requests & status instantly through iBridge will help radiology center plan their appointments efficiently.

Automated Patient Pay Estimation solution through iBridge will help radiology practice to calculate, educate, and clarify patient financial responsibility at the point of service thus reducing payment delays/defaults.

Patient Pay Estimation functionality will also enable providers to predict patient payment revenues and cash flow roadmap.

Benefits our clients get using our Pre-Auth & Insurance Verification Solution

Improved Approval Rates for Prior Authorizations

Fewer Escalations & Faster Approvals

Improved Process Efficiency & Profitability

Increased Performance for Radiology Centre

Thank You

Contact us at [email protected]

www.infinxinc.com